| NPI | 1619058765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301054335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301054335) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301054335) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-02-29 |