| NPI | 1861405409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN MD50580) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM 83-308) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 50580) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-11-30 |