| NPI | 1891040044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 54406) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 54406) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2024-05-23 |