| NPI | 1245679141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 76240) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 2019-00742) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2025-08-04 |