| NPI | 1457672297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 79683) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 56687) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 56687) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2025-08-20 |