| NPI | 1033579479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101271145) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0093781) |
| 207R00000X Internal Medicine (Licence: MD D0093781) | |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2022-12-08 |