| NPI | 1710208939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 39944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 4228) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 39944) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2016-07-18 |