| NPI | 1316967318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME125007) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101042416) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2015-0834) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME125007) | |
| 208M00000X Hospitalist (Licence: LA 207562) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60543630) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD420920) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01074151A) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01074151A) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2025-09-12 |