| NPI | 1396124749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A145895) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A145895) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 295561) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2024-05-20 |