| NPI | 1164612537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD.203946) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD.203946) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2021-12-15 |