| NPI | 1437110244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME70064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 70064) |
| 208M00000X Hospitalist (Licence: FL ME70064) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-10-31 |