| NPI | 1851338008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY TP711) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 48621) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY TP711) | |
| 207R00000X Internal Medicine (Licence: CA A71381) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 48621) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2025-10-27 |