| NPI | 1447451182 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 36361)  | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 36361)  | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036160524)  | |
| Enumeration Date | 2007-05-30 | 
| Last Update Date | 2025-08-27 |