| NPI | 1386025849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD H0086831) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD H0086831) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD H0086831) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2025-09-24 |