| NPI | 1255695011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 59404) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 59404) |
| 208M00000X Hospitalist (Licence: TN 59404) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2019-08-14 |