| NPI | 1417151820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: GA 064829) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 064829) |
| 207R00000X Internal Medicine (Licence: GA 064829) | |
| 208000000X Pediatrics (Licence: GA 064829) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2015-12-04 |