| NPI | 1477173607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2025-0716) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A191213) |
| 208M00000X Hospitalist (Licence: CA A191213) | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2025-11-12 |