NPI | 1790246817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME173089) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.144590) |
208M00000X Hospitalist (Licence: OH 35.144590) | |
Enumeration Date | 2019-03-29 |
Last Update Date | 2025-07-21 |