| NPI | 1407086820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD P23992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48064) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 48064) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 48064) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2020-02-06 |