| NPI | 1689873358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P7515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50694) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 16632) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036170869) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 16632) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 54062-20) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P7515) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2024-08-22 |