| NPI | 1598055709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A150260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A150260) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A150260) | |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2022-05-25 |