| NPI | 1255651261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 02004032A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02004032A) |
| 208M00000X Hospitalist (Licence: IN 02004032A) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2021-12-02 |