| NPI | 1891716072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: HI MD14711) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: HI MD14711) |
| 207R00000X Internal Medicine (Licence: HI MD14711) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-05-27 |