| NPI | 1730110123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101232761) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C50516) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0093810) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DC MD210001883) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101232761) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C50516) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD210001883) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0093810) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-11-01 |