| NPI | 1528164704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD500002488) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D79963) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2025-03-19 |