| NPI | 1598724049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 36009) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 36009) |
| 207R00000X Internal Medicine (Licence: AZ 36009) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2012-10-08 |