| NPI | 1982758389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C162611) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C162611) |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: CO 44560) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2026-04-29 |