| NPI | 1689061376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 64716) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 64716) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: ME EC181068) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ R74898) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 64716) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ R74898) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2022-08-05 |