| NPI | 1063859221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 265824) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 265824) |
| 208M00000X Hospitalist (Licence: MA 265824) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2020-05-08 |