| NPI | 1770275083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.082303) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX BP10100102) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX BP10100102) | |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2026-06-24 |