| NPI | 1730295197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CO 31233) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CO 31233) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |