| NPI | 1134625148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 05260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 05260) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 05260) | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2025-05-28 |