| NPI | 1447269220 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 35734)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD430926)  | 
| 207R00000X Internal Medicine (Licence: AZ 35734)  | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 35734)  | |
| Enumeration Date | 2006-08-07 | 
| Last Update Date | 2023-09-27 |