| NPI | 1003173667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301114405) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A132198) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A132198) | |
| 207R00000X Internal Medicine (Licence: MI 4301114405) | |
| 207R00000X Internal Medicine (Licence: CA A132198) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301114405) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2019-12-02 |