| NPI | 1427339738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD171295) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 6767) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NE 6767) | |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2015-07-24 |