| NPI | 1407828015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME 86367) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A83200) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME86367) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A83200) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2019-12-05 |