| NPI | 1578671699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MT 159933) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 40529) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT 159933) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 40529) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2025-11-06 |