| NPI | 1699182717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 53642) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T7479) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T7479) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T7479) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA10422300) | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2025-10-10 |