| NPI | 1467809541 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 96070) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 96070) | 
| Enumeration Date | 2016-05-19 | 
| Last Update Date | 2023-07-11 |