| NPI | 1164689972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A111910) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A111910) |
| 207R00000X Internal Medicine (Licence: CA A111910) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A111910) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2023-06-21 |