| NPI | 1710076120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX J1325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J1325) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: TX J1325) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NM MD2022-0083) | |
| 208M00000X Hospitalist (Licence: TX J1325) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-01-04 |