| NPI | 1649451873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 60177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 60177) |
| 207R00000X Internal Medicine (Licence: OH 35.121030) | |
| 207R00000X Internal Medicine (Licence: IL 036.125622) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.121030) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 60177) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.125622) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.121030) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.125622) | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2024-05-03 |