| NPI | 1811923261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2019-00481) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036089102) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036089102) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 56574) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036089102) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 56574) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2019-00481) | |
| 208M00000X Hospitalist (Licence: TN 56574) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2023-05-22 |