| NPI | 1114905999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-37675) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-37675) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-37675) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2024-04-17 |