| NPI | 1558435396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C129301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 048783) |
| 207R00000X Internal Medicine (Licence: NC 2013-02352) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C129301) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.130545) | |
| 208M00000X Hospitalist (Licence: CT 048783) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-09-09 |