| NPI | 1770661712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 4902809-1205) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 4902809-1205) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 65783) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 65783) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 4902809-1205) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-03-31 |