| NPI | 1457702318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2025-01770) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036150003) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036150003) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 202501770) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2025-06-19 |