| NPI | 1689771792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME103204) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35059825) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35059825) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-12-05 |