| NPI | 1689750150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 19741) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA 19741) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 19741) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IA 19741) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-08-11 |