| NPI | 1104911650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2013-01144) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 39138) |
| 207R00000X Internal Medicine (Licence: RI MD13041) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2013-01144) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2026-03-02 |