| NPI | 1427357987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 15257) |
| 207R00000X Internal Medicine (Licence: AZ 62308) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 15257) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID MC-2614) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 15257) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2024-02-08 |