| NPI | 1275580185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME79475) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101255502) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036051310) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036051310) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2014-01915) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2026-03-23 |