| NPI | 1912986530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 16518) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102201805) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NH 16518) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0102201805) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0102201805) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2022-03-10 |