| NPI | 1699862169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA G18522) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G18522) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-11-06 |