| NPI | 1235329111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME111434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245307) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 48323) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A104012) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 01070064A) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 48323) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2014-08-06 |