| NPI | 1689841033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101261967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101261967) |
| 207R00000X Internal Medicine (Licence: NC 2013-00933) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101261967) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 42775) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2013-00933) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 42775) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2013-00933) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2022-05-03 |