| NPI | 1427269638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 44816) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 5315021609) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 44816) | |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2011-12-05 |