| NPI | 1861914749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 40278) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 40278) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2023-11-13 |