| NPI | 1235635368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A194684) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11420201-1205) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A194684) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-06-13 |