| NPI | 1689749368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D90015) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101242746) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 38926) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-12-21 |