| NPI | 1386686137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 21581) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TN 021581) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 021581) | |
| 207R00000X Internal Medicine (Licence: TN 021581) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2015-05-07 |