| NPI | 1255310041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C52810) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME86902) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 065173) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C152810) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C152810) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME86902) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 50084) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2023-04-11 |