| NPI | 1780765461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 41558) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN MD0000041558) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-07-01 |