| NPI | 1760583389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD156691) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M3508) |
| 207R00000X Internal Medicine (Licence: OR MD156691) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX m3508) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD156691) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 71944) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 71944) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-07-25 |