| NPI | 1205913506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MT 18582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL29140) |
| 207R00000X Internal Medicine (Licence: NY 256390) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 256390) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 256390) | |
| 207R00000X Internal Medicine (Licence: MT 18582) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT 18582) | |
| 207R00000X Internal Medicine (Licence: NM MD2016-0024) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2016-0024) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2016-0024) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-04-28 |