NPI | 1790125318 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2018003024) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018003024) |
207R00000X Internal Medicine (Licence: MO 2013017668) | |
208M00000X Hospitalist (Licence: MO 2018003024) | |
Enumeration Date | 2013-06-27 |
Last Update Date | 2020-10-27 |