| NPI | 1831455971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS025502) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 280608) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 280608) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2026-08-26 |