| NPI | 1629699582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 06325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022-02479) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 89688) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 89688) | |
| 207R00000X Internal Medicine (Licence: SC 89688) | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2026-07-08 |