| NPI | 1215279831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL 126863) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME126863) |
| 207R00000X Internal Medicine (Licence: FL ME126863) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2022-05-02 |