| NPI | 1801157219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 14223954-1235) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101284339) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME148508) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 56107) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101284399) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2025-11-11 |