| NPI | 1205859667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0031076) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0031076) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0031076) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MD D0031076) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-07-20 |