| NPI | 1275583585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: SC 31600) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: SC 31600) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NC 2011-01582) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 2011-01582) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-08-19 |