| NPI | 1306425582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ R3771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151015032) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ R3771) | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2025-07-02 |