| NPI | 1306259866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NE 32488) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-47614) |
| 208M00000X Hospitalist (Licence: IA MD47614) | |
| 207R00000X Internal Medicine (Licence: AR E-10757) | |
| 208M00000X Hospitalist (Licence: NE 32488) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 32488) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-47614) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2026-07-17 |