| NPI | 1104891738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2024-1021) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 041291) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 041291) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2025-02-07 |