| NPI | 1245414507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 48581) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 048581) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CT 48581) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2015-05-05 |