| NPI | 1790781870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MS 17262) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN MD31305) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2024-07-17 |