| NPI | 1700822442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME117965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 16418) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NH 21626) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01077798A) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 16418) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 16418) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01077798A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 61220) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2021-10-04 |