| NPI | 1639341266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 40477) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 40477) | |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2014-06-16 |