| NPI | 1306031810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A112723) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A112723) |
| 282N00000X General Acute Care Hospital (Licence: CA A112723) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2013-07-22 |