| NPI | 1710115910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR CP206808) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 15920) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 46908) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX BP20035301) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2022-10-28 |