| NPI | 1760802938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 23809) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NH 23809) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5151010631) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 4147) | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2023-03-08 |