| NPI | 1144727025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 50611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 50611) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 50611) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2025-06-18 |