| NPI | 1710115423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 46152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO T2009017281) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 46152) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: AZ 46152) | |
| 208M00000X Hospitalist (Licence: AZ 46152) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2019-03-28 |