| NPI | 1922022672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 0000024694) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN 0024694) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-24 |