| NPI | 1215909072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 047218) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 047218) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35077075) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD432420) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2010-01-16 |