| NPI | 1912369372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV DO2515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO2515) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV DO2515) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2026-07-16 |