| NPI | 1609950500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 36111) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MT MEDPHYSCOMLIC112031) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 19443) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 36111) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID M-11933) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD165581) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 36811) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 19443) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-03-18 |