| NPI | 1831404136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2020-0653) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME MD20986) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2020-0653) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 11262300-1205) | |
| 207R00000X Internal Medicine (Licence: NM MD2020-0653) | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2025-01-02 |