| NPI | 1558578260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: ID O-0599) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: ID O-0599) |
| 207R00000X Internal Medicine (Licence: ID O-0599) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-09-15 |