| NPI | 1568805265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.128299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01075697A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 297616) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 297616) | |
| 208M00000X Hospitalist (Licence: CT 63650) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2025-05-23 |