| NPI | 1700149366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IA MD-44785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-44785) |
| 207R00000X Internal Medicine (Licence: MA 252044) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IA MD-44785) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-02-06 |