| NPI | 1417319096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME158041) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 34626) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME158041) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-09-16 |