| NPI | 1679540553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101056691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101056691) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101056691) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2010-09-16 |