| NPI | 1447679238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 63949) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 63949) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 63949) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2020-02313) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2020-02313) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2025-09-24 |