| NPI | 1255426417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 64034) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME62408) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: OK 32887) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME62408) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: LA 303246) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME62408) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: OK 32887) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-03-14 |