| NPI | 1275572026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: HI MD-12656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD12656) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: HI MD12656) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-05-08 |