| NPI | 1801904099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A56051) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A56051) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A56051) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A56051) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2023-08-09 |