| NPI | 1730539511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301509391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022-00793) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301509391) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2025-03-14 |