| NPI | 1417902149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 20A7942) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 20A7942) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A7942) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-04-17 |