| NPI | 1457543241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: CA A81415) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A81415) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-10-27 |