| NPI | 1184851719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD446622) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 139402) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A139402) | |
| 208M00000X Hospitalist (Licence: PA MD446622) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2017-09-25 |