| NPI | 1306800099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 050113) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 050113) |
| 207R00000X Internal Medicine (Licence: CT 050113) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2013-01-24 |