| NPI | 1740609148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA Os019662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS019662) |
| 208M00000X Hospitalist (Licence: PA OS019662) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2020-07-31 |