| NPI | 1689137515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 27631) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 14292-320) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 27631) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2026-07-08 |