| NPI | 1598386344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 6815) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.016687) |
| 208M00000X Hospitalist (Licence: OH 34.016687) | |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2026-10-07 |