| NPI | 1275729675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0061843) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD036897) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D61843) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2026-09-29 |