| NPI | 1871567149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 213237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 213237) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MA 213237) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 213237) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2010-12-09 |