| NPI | 1558301465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WI 45848) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 45848) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-04-01 |