| NPI | 1578979704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2017022826) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2017022826) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2025-08-11 |