NPI | 1386208460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX U4856) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.248941) |
208M00000X Hospitalist (Licence: TX U4856) | |
Enumeration Date | 2019-04-24 |
Last Update Date | 2025-06-30 |