| NPI | 1609860006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 38608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01059896A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA 38608) | |
| 207R00000X Internal Medicine (Licence: IA 38608) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2013-06-27 |