| NPI | 1235223009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G30023) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA G30023) |
| 207R00000X Internal Medicine (Licence: CA G30023) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-08-26 |