| NPI | 1649409764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME154716) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME154716) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME154716) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2026-10-05 |