| NPI | 1336726082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A192590) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A192590) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A192590) | |
| 207P00000X Emergency Medicine (Licence: CA A192590) | |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2026-07-20 |