| NPI | 1982810727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M6262) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M6262) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2016-02-18 |