| NPI | 1255651477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 27807) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 27807) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R0822) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD486436) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 5227) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2025-02-13 |