| NPI | 1144754540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 79977) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 79977) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2025-09-23 |