| NPI | 1518002450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 62072) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101043907) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 62072) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2014-04-14 |