| NPI | 1801257712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OR MD210296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A154233) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: OR MD210296) | |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2023-12-06 |