| NPI | 1265797161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 80382) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 50775) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 80382) | |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2026-08-27 |