| NPI | 1326144361 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PR 14913) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PR 14913) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2013-03-13 |