| NPI | 1780894667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 70708) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 025979) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ME MD28791) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 025979) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME MD28791) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-08-06 |