| NPI | 1275728529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 200701973) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N2359) |
| 207R00000X Internal Medicine (Licence: KY 45748) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N2359) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 200701973) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 251622) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 251622) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2023-03-14 |