| NPI | 1588009310 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2019-01286) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS017511) | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 250958) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 250958) | |
| Enumeration Date | 2013-05-07 | 
| Last Update Date | 2025-06-27 |