| NPI | 1487930905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101255068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09201900) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E-15859) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101255068) | |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2023-11-03 |