| NPI | 1720346620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 13150-321) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 5101019715) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5101019715) | |
| 207R00000X Internal Medicine (Licence: MI 5101019715) | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2025-09-10 |