| NPI | 1730595158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 30218) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-47652) |
| 208M00000X Hospitalist (Licence: NE 30218) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-09-26 |