| NPI | 1326278417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012025710) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036132695) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036132695) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2017-04-16 |