| NPI | 1245335967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WI 54676-20) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: HI MD-1806) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301102340) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MI 4301102340) | |
| 207R00000X Internal Medicine (Licence: MI 4301102340) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2016-03-10 |