| NPI | 1851576060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A96744) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA FV0135803) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A96744) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2012-12-21 |