| NPI | 1326059882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A85251) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A84251) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-11-11 |