| NPI | 1306475835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL UO8850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151014397) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL UO8850) | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2023-06-19 |