| NPI | 1366761256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 53662) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 53662) |
| 207R00000X Internal Medicine (Licence: CT 53662) | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2014-12-12 |