| NPI | 1447286984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX F0413) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX F0413) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX F0413) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2012-02-29 |