| NPI | 1306810361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 32413) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MN 32413) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2015-08-25 |