| NPI | 1770680001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ME 2204) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NH 11987) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 11987) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME 2204) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-02-15 |