| NPI | 1841588381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 50506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.059179) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 50506) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2020-06-11 |