| NPI | 1902880685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 7370810-1205) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 37298) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0059216) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2026-04-29 |