| NPI | 1386202430 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 82237) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 82237) | 
| Enumeration Date | 2019-06-04 | 
| Last Update Date | 2025-09-16 |