| NPI | 1871021030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T6381) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 72581) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 3016) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61670730) | |
| 207R00000X Internal Medicine (Licence: IL 036.152922) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 84506-20) | |
| 208M00000X Hospitalist (Licence: IL 036.152922) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301512732) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME MD29799) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 316705-01) | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2026-04-24 |