| NPI | 1235576554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 65880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02748) |
| 207R00000X Internal Medicine (Licence: RI MD15361) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 65880) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2022-07-21 |