| NPI | 1205913951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 1674-320) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI EMC0001791) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 37843) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 37843) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-45553) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI EMC0001791) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT 114809) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2022-00633) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-09-22 |