| NPI | 1225398175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 80563) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 61685) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 80563) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 61685) | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2026-01-13 |