| NPI | 1033799713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2025-01748) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2025-01748) |
| 208M00000X Hospitalist (Licence: IL 036170685) | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-06-17 |