| NPI | 1295835684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: LA 15578R) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: LA 15578R) |
| 207R00000X Internal Medicine (Licence: LA 15578R) | |
| 208M00000X Hospitalist (Licence: LA 15578R) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-03-30 |