| NPI | 1578798013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA 20A11670) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A11670) |
| 207R00000X Internal Medicine (Licence: FL UO2112) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA 20A11670) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2019-10-10 |