| NPI | 1063755106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 27205) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 27205) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2025-07-24 |