| NPI | 1619402401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 35791) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NE 35791) |
| 207R00000X Internal Medicine (Licence: IN 01083924A) | |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2024-10-15 |