| NPI | 1164625448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 19883) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-1859) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 19883) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2023-03-06 |