| NPI | 1235116054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS13675) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS13675) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M0250) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS13675) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2017-01-16 |