| NPI | 1407230477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 64172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 64172) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 64172) | |
| 208M00000X Hospitalist (Licence: CT 064172) | |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2021-04-22 |