| NPI | 1083673180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 48610) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 28641) |
| 207R00000X Internal Medicine (Licence: GA 28641) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2018-00697) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 028641) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 028641) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 16450) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2018-00697) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2023-03-10 |