| NPI | 1225364052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A115008) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A115008) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A115008) | |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2019-05-28 |