| NPI | 1649538786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 20A16216) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A16216) |
| 207R00000X Internal Medicine (Licence: TX Q4811) | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2021-05-06 |