| NPI | 1912210444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E-9684) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AR E-9684) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2016-11-30 |