| NPI | 1275525933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 31168) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 31168) |
| 207R00000X Internal Medicine (Licence: KY 31168) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2013-08-28 |