| NPI | 1003590241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MT237449) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL I16530197025) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MT237449) | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2026-06-29 |