| NPI | 1447697743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL MD.37491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.37491) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL MD.37491) | |
| 208D00000X General Practice (Licence: IA MD44779) | |
| 208D00000X General Practice (Licence: SC MD35678) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2025-07-07 |