| NPI | 1669867354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.161216) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.161216) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.161216) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2023-06-28 |