| NPI | 1194250076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 80849) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A162466) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A162466) | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2026-06-17 |