| NPI | 1568447977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 058220) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 160297) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 160297) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 058220) | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2011-09-15 |