| NPI | 1174556070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301074009) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301074009) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 4301074009) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-10-23 |