| NPI | 1457425480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 67644) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 67644) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 67644) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-03-04 |