| NPI | 1013191949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301515767) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 004770) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 004770) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2026-01-12 |