| NPI | 1194815092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 27718) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL MD.27718) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 27718) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-06-28 |