| NPI | 1215432158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 290533) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 290533) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2025-06-30 |