| NPI | 1699269076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.150766) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD475106) |
| 207R00000X Internal Medicine (Licence: PA MD475106) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2024-05-15 |