| NPI | 1306895602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA MD12724R) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD12724R) |
| 208M00000X Hospitalist (Licence: LA MD.12724R) | |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2019-08-21 |