| NPI | 1902258270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301506399) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME139646) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301506399) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2024-05-20 |