| NPI | 1609370071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2026016042) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2026016042) |
| 207R00000X Internal Medicine (Licence: MO 2026016042) | |
| 207R00000X Internal Medicine (Licence: CO DR.0066690) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0066690) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2026016042) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0066690) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2026-09-22 |