| NPI | 1619064912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A046419) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A046419) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-08-26 |