| NPI | 1720310816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME119899) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A109621) |
| 207R00000X Internal Medicine (Licence: FL ME119899) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME119899) | |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2022-02-16 |