| NPI | 1235176371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101233286) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A54405) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101233286) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A54405) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-01-17 |