| NPI | 1245627546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 58035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036148142) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 58035) | |
| 208M00000X Hospitalist (Licence: IL 036148142) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO CDR.0001491) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO CDR.0001491) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2024-03-05 |