| NPI | 1104385384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T5377) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 345196) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VT 042.) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VT 042.) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 345196) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2026-06-16 |