| NPI | 1720060098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 153375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 153375) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 153375) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2012-04-05 |