| NPI | 1043879463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 81878) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11562) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 81878) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2025-08-22 |