| NPI | 1790050979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME148871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A129739) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036142641) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036142641) | |
| 208M00000X Hospitalist (Licence: CA A129739) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2022-07-21 |