| NPI | 1316019532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.142772) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 36.142772) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 268637) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 27014) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WY 9319A) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 47233) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NE 26254) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 14408) | |
| 207R00000X Internal Medicine (Licence: IL 36.142772) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 37202) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-06-11 |