| NPI | 1932335452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2016-02588) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: HI MD-16151) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY TP699) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2017-04-03 |