| NPI | 1184867996 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.140884) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.205534) | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q9220) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME139906) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME139906) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 55410) | |
| 208M00000X Hospitalist (Licence: LA MD.205534) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.140884) | |
| Enumeration Date | 2009-04-08 | 
| Last Update Date | 2025-10-30 |