| NPI | 1265872584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 302964) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 277258) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA 277258) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NH 302964) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 277258) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2021-07-29 |