| NPI | 1053320168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 33179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00033943) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 33179) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 958) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: AZ 33179) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2024-01-04 |