| NPI | 1649632076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0093709) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0061870) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0093709) | |
| 208M00000X Hospitalist (Licence: CO 0061870) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2022-04-03 |