| NPI | 1447770003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 007747) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS18395) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS18395) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 007747) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS18395) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2025-05-14 |