| NPI | 1174854822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C167603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C167603) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C167603) | |
| 208M00000X Hospitalist (Licence: NY 258101) | |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2026-01-23 |