| NPI | 1841554250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MS 23030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 23030) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MS 23030) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-08-10 |