| NPI | 1790045375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 327388) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 327388) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2018019499) | |
| 208M00000X Hospitalist (Licence: MS 23937) | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2021-07-15 |