| NPI | 1174689335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A63770) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A63770) |
| 208M00000X Hospitalist (Licence: CA A63770) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-08-09 |