| NPI | 1063701605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 72965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX p4862) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY C2617) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME165976) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 72965) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P4862) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P4862) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME165976) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY C2617) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2025-07-16 |