| NPI | 1104095157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS19796) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS19796) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036120085) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2023-12-20 |