| NPI | 1063778272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 82036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME141805) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME141805) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 82036) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A136882) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME141805) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH LT4057) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 67734) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2023-07-12 |