| NPI | 1881775427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101021198) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101021198) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101021198) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-06-05 |