| NPI | 1972001501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NE 2919) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NE 2919) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2024-07-11 |