| NPI | 1376555672 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 021301) | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 021301) | 
| Enumeration Date | 2006-08-13 | 
| Last Update Date | 2025-09-11 |