| NPI | 1831277706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: LA MD.025593) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A95797) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A95797) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-03-17 |