| NPI | 1265702856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 61397) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME128756) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 61397) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME128756) | |
| 208M00000X Hospitalist (Licence: CT 53708) | |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2020-11-18 |