| 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 |