| NPI | 1487941597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: GA 84225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452290) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0116029789) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0116029789) | |
| 208M00000X Hospitalist (Licence: PA MD452290) | |
| Enumeration Date | 2011-07-09 |
| Last Update Date | 2020-02-04 |