| NPI | 1861832347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301103357) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103357) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301103357) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2016-07-04 |