| NPI | 1538735329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IA MD-51114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-12103) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IA MD-51114) | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-06-02 |