NPI | 1831345669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 49791) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 17610C) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 49791) | |
207R00000X Internal Medicine (Licence: NY 60249508) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 17610C) | |
Enumeration Date | 2008-08-12 |
Last Update Date | 2025-07-30 |