| NPI | 1831326719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q3920) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q3920) |
| 207R00000X Internal Medicine (Licence: WI 60449-20) | |
| 207R00000X Internal Medicine (Licence: IL 125056098) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY C2597) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 73137) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 73137) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2025-02-05 |