| NPI | 1841878857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 79147) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D0099628) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-06-12 |