| NPI | 1093202103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A166333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 166333) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 166333) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2025-09-18 |