| NPI | 1841467198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 207952) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-6744) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 81809) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL MD.31678) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 81809) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2023-05-25 |