| NPI | 1679542120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C54849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C54849) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C54849) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 37483) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01066183A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 41191) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C54849) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA C54849) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2022-05-25 |