| NPI | 1508052275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 33243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 43740) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 33243) | |
| 208M00000X Hospitalist (Licence: TN 43740) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2026-02-16 |