| NPI | 1366583619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 45250) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 45250) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2014-12-23 |