| NPI | 1487073805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 274103) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 274103) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 274103) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2022-04-08 |