| NPI | 1699416990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 82296) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 70869) |
| 207R00000X Internal Medicine (Licence: AZ R79363) | |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2026-05-27 |