| NPI | 1780905059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2022-00929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058665) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0080663) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0080663) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2023-10-09 |