| NPI | 1558484618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A83139) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A83139) |
| 208M00000X Hospitalist (Licence: CA A83139) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-03-07 |