| NPI | 1508111212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E-10794) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E-10794) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2024-04-23 |