| NPI | 1255549622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 50116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 50116) |
| 208M00000X Hospitalist (Licence: CT 50116) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-08-09 |