| NPI | 1225492671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 68236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60889367) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 68236) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2024-08-13 |