| NPI | 1154653418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 000435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N6103) |
| 208M00000X Hospitalist (Licence: WA OP60128882) | |
| 208M00000X Hospitalist (Licence: OR DO141099) | |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2025-03-26 |