| NPI | 1013168616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PR 18130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18130) |
| 208M00000X Hospitalist (Licence: PR 18130) | |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2023-11-09 |