| NPI | 1558712828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND 17803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-55785) |
| 207R00000X Internal Medicine (Licence: MS 35872) | |
| 207R00000X Internal Medicine (Licence: AZ 78351) | |
| 207R00000X Internal Medicine (Licence: KY C4515) | |
| 207R00000X Internal Medicine (Licence: IL 036.176904) | |
| 207R00000X Internal Medicine (Licence: AL 52053) | |
| 207R00000X Internal Medicine (Licence: WA IMLC.MD.70042924) | |
| 207R00000X Internal Medicine (Licence: OK 46580) | |
| 207R00000X Internal Medicine (Licence: WY 18858C) | |
| 207R00000X Internal Medicine (Licence: NE CP1701) | |
| 207R00000X Internal Medicine (Licence: HI MD-26055-0) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 17803) | |
| 207R00000X Internal Medicine (Licence: MD D0104763) | |
| 207R00000X Internal Medicine (Licence: WV 35681) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-09-13 |