| NPI | 1861050023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 33403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 82535) |
| 208M00000X Hospitalist (Licence: SC 82535) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2024-07-02 |