| NPI | 1316105489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 201400869) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101262777) |
| 207R00000X Internal Medicine (Licence: NC 2014-00869) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101262777) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY TP795) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2014-00869) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101262777) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2024-06-05 |