| NPI | 1619072964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA 20A6768) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA 20A6768) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-07-19 |