| NPI | 1700815461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A 49502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A49528) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A49528) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2009-07-02 |