| NPI | 1881155828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 73565) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2026-03419) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2026-03419) | |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2026-07-20 |