| NPI | 1417331331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0096509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD465393) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0096509) | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2026-06-25 |