| NPI | 1427228022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P8190) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125051873) |
| 207R00000X Internal Medicine (Licence: AR E-6812) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E-6812) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P8190) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E-6812) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2023-07-03 |