| NPI | 1265928915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301504715) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301504715) |
| 207R00000X Internal Medicine (Licence: MI 4301115856) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-09-14 |