| 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 |