| NPI | 1346665130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME139150) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME139150) |
| 208M00000X Hospitalist (Licence: CT 053464) | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2019-10-02 |