| NPI | 1548945751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 3145) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA DO-06957) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2026-07-06 |