| NPI | 1407264476 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI MD19162)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.130286)  | 
| 208M00000X Hospitalist (Licence: OH 35.130286)  | |
| Enumeration Date | 2014-07-23 | 
| Last Update Date | 2024-09-24 |