| NPI | 1831116805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 53540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 21677) |
| 207R00000X Internal Medicine (Licence: TN 53540) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2014-02347) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101240820) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-02-15 |