| NPI | 1235557836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 288631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A16245) |
| 208M00000X Hospitalist (Licence: PA OS018593) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2021-08-02 |