| NPI | 1578649513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MT MED-PHYS-LIC-11673) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL TRN9388) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL TRN9388) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2022-02-10 |