| NPI | 1528474079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2024007641) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 64670) |
| 208M00000X Hospitalist (Licence: WI 64670-20) | |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2024-07-22 |