| NPI | 1023007812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 018986) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 018986) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 018986) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 018986) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2022-08-09 |