| NPI | 1245679497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R2207) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2015029995) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2020-07-02 |