| NPI | 1770655532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME61482) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 29711) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME61482) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2022-10-11 |