| NPI | 1104232065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301508379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101267285) |
| 207R00000X Internal Medicine (Licence: IA MD-44402) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301508379) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 74874-20) | |
| 208M00000X Hospitalist (Licence: VA 0101267285) | |
| 208M00000X Hospitalist (Licence: IA MD-44402) | |
| 208M00000X Hospitalist (Licence: CA 191856) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2024-05-01 |