| NPI | 1265474068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 42913) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N3095) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N3095) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2022-02955) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 42913) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SD 13240) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 81131) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 42913) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N3095) | |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX N3095) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-10-18 |