| NPI | 1225390529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 18028) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 18028) |
| 207R00000X Internal Medicine (Licence: NV 18028) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NH 21761) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2025-07-27 |