| NPI | 1407264476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI MD19162) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX W6219) |
| 208M00000X Hospitalist (Licence: OH 35.130286) | |
| 207R00000X Internal Medicine (Licence: OH 35.130286) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2026-06-02 |