| NPI | 1063638773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 99102094A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT183118) |
| 207R00000X Internal Medicine (Licence: AZ 40719) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60287303) | |
| 208M00000X Hospitalist (Licence: AZ 40719) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-01-26 |