| NPI | 1275589285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A103858) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A103858) |
| 207R00000X Internal Medicine (Licence: MD D0064560) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A103858) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2017-08-14 |