| NPI | 1568621407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101253402) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME118851) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101253402) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2026-02-20 |