| NPI | 1619338712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM DO2023-0249) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102204966) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0102204966) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0102204966) | |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2023-04-17 |