| NPI | 1790772770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL MEOO35792) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME0035792) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2014-02-13 |