| NPI | 1710203765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 4478) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 268977) |
| 207R00000X Internal Medicine (Licence: NY 269977) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 269977) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 83378) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 4478) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2025-10-03 |