| NPI | 1003445651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD484941) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01089232A) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2024-07-03 |