| NPI | 1922025923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME111510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 9839) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 89223) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 53295) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 105078) | |
| 207R00000X Internal Medicine (Licence: FL ME111510) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2026-09-10 |