| NPI | 1669631743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 13694) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 13694) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A97399) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2021-07-13 |