| NPI | 1700862794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME132045) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R0820) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A86964) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A86964) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R0820) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD456660) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2023-07-03 |