| NPI | 1538456124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 32876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275377) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD19443) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 245377) | |
| 207R00000X Internal Medicine (Licence: WV 32876) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 32876) | |
| 208M00000X Hospitalist (Licence: NY 275377) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME141113) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 55570) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2025-09-30 |