| NPI | 1740584879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD460947) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101255799) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD460947) | |
| 208M00000X Hospitalist (Licence: SD 8056) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2021-08-02 |