| NPI | 1346227956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NH 14450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 31001) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IA 31001) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IA 31001) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NH 14450) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2011-07-12 |