| NPI | 1447465232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0067657) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101236647) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0067657) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101236647) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD035711) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-12-29 |