| NPI | 1043770506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS22142) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 331126) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS22142) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-08-28 |