| NPI | 1740539733 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301101283) | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301101283) | 
| 207R00000X Internal Medicine (Licence: MI 4301101283) | |
| Enumeration Date | 2012-09-05 | 
| Last Update Date | 2024-05-20 |