| NPI | 1023305661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 77759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 0437319) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 77759) | |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2017-08-08 |