| NPI | 1750410999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AR E5061) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR E-5061) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: AR E5061) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-06-18 |