| NPI | 1285656876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 36081) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 9287) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 36081) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-12-28 |