| NPI | 1851331037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301076574) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301076574) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-11-28 |