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 |