| NPI | 1194169292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA C156756) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OR MD162896) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: OR MD162896) | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2019-02-08 |