| NPI | 1912382870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C205240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 431108019) |
| 207R00000X Internal Medicine (Licence: CA C205240) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-47998) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-47998) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C205240) | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2026-02-18 |