| NPI | 1306065388 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A125306)  | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A125306)  | 
| Enumeration Date | 2007-04-25 | 
| Last Update Date | 2019-03-29 |