| NPI | 1417260399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q8634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057460) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q8634) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2016-06-29 |