| NPI | 1851566947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 20436) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD191050) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD191050) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 20436) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2023-08-08 |