| NPI | 1730564899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 82852) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 51431) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 82852) | |
| 208M00000X Hospitalist (Licence: KY 51431) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2022-08-15 |