| NPI | 1255370367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PR 21651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 21651) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PR 21651) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME78017) | |
| 208M00000X Hospitalist (Licence: PR 21651) | |
| 208M00000X Hospitalist (Licence: PR 21561) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2022-12-02 |