| NPI | 1689681025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD207608) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 32825) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 32825) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-12-17 |