| NPI | 1285865436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A120181) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194318) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MT194318) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MT194318) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A120181) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A120181) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2016-07-05 |