| NPI | 1538376793 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 48430) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 48430) | 
| Enumeration Date | 2007-05-17 | 
| Last Update Date | 2022-08-24 |