| NPI | 1851598478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME141972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 249601) |
| 208M00000X Hospitalist (Licence: MA 249601) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2019-08-08 |