| NPI | 1477998680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS12095) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL os12095) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS12095) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2018-11-20 |