| NPI | 1811481864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2021010534) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2021010534) |
| 207R00000X Internal Medicine (Licence: MO 2021010534) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2021010534) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2021010534) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2026-05-08 |