| NPI | 1245659143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID M-15910) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A156762) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID M-15910) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2025-10-09 |