| NPI | 1619380433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 75600-20) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A146128) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A146128) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2023-12-22 |