| NPI | 1558626564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34.013209) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.137644) |
| 208M00000X Hospitalist (Licence: IL 036.137644) | |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2018-08-13 |