| NPI | 1770689473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036-116039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-046998) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036-116039) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: IL 036-116039) | |
| 208M00000X Hospitalist (Licence: SD 5973) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2021-04-21 |