| NPI | 1427016203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS8572) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS8572) |
| 207P00000X Emergency Medicine (Licence: KY TP401) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2016-12-12 |