| NPI | 1699984070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 260125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 22192) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 260125) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-09-02 |