| NPI | 1184117426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 86043-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 52608) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 86043-20) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 39167) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 39167) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2025-07-23 |