| NPI | 1740716000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2021-00610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 227243) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2021-00610) | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2022-02-17 |