| NPI | 1386645356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A101132) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA MD.15504R) |
| 207R00000X Internal Medicine (Licence: LA 15504R) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-11-06 |