| NPI | 1902891864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL 98087) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 78520) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 78520) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2023-04-27 |