| NPI | 1538579776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 010622) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 010622) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 73690) | |
| 207R00000X Internal Medicine (Licence: MI 5101021107) | |
| 207R00000X Internal Medicine (Licence: AZ 010622) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 93087) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T1811) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T1811) | |
| 207R00000X Internal Medicine (Licence: TX T1811) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 73690) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2026-07-27 |