| NPI | 1538402557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI MD16685) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI LP03663) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2019-06-13 |