| NPI | 1275063844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V5877) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX V5877) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX V5877) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036152838) | |
| 207R00000X Internal Medicine (Licence: IL 125070822) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036152838) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2025-10-09 |