| NPI | 1790781144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN MD7746) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN MD7746) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2011-11-08 |