| NPI | 1083077630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2019024572) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016022174) |
| 208M00000X Hospitalist (Licence: MO 2019024572) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-09-09 |