| NPI | 1457771669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 94726) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 328259) |
| 208M00000X Hospitalist (Licence: LA 328259) | |
| 207R00000X Internal Medicine (Licence: KY 51383) | |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2026-05-27 |