| NPI | 1538127899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A049658) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: CA A049658) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A049658) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-09-03 |