| NPI | 1346258746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 30705) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC TL30705) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 30705) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2006-00014) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-06-24 |