| NPI | 1952377855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 67526-20) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME0063871) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 63079) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME0063871) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2022-06-16 |