| NPI | 1720219397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AR E-8192) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AR E-8192) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2015-08-10 |