| NPI | 1669769246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO 2025014655) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 57747) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036144017) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2025-08-12 |