| NPI | 1407119738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 142592) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2015020989) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2019-08-01 |