| NPI | 1679660021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 042335 CT) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 042335) |
| 207R00000X Internal Medicine (Licence: CT 042335) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2023-03-07 |