| NPI | 1174219885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OT025046) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA 207RP1001X) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2026-06-12 |