| NPI | 1174943153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 2019-02143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102204677) |
| 207R00000X Internal Medicine (Licence: NC 2019-02143) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0102204677) | |
| 208M00000X Hospitalist (Licence: NC 2019-02143) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2023-03-20 |