NPI | 1730565490 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2019-01416) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD34583) |
207R00000X Internal Medicine (Licence: NC 2019-01416) | |
208M00000X Hospitalist (Licence: NC 2019-01416) | |
Enumeration Date | 2015-08-05 |
Last Update Date | 2023-06-08 |