| NPI | 1548329634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 21615) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 21615) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-01-12 |