| NPI | 1134651771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: KY 54921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 73597) |
| 207R00000X Internal Medicine (Licence: KY 54921) | |
| 208M00000X Hospitalist (Licence: WI 73597) | |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2024-07-15 |