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 |