| NPI | 1821432766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2021030256) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 101579) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2021030256) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2024-08-30 |