| NPI | 1083903975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101278090) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2011-00997) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101278090) | |
| 208M00000X Hospitalist (Licence: NC 2011-00997) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2024-01-17 |