| NPI | 1902009566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60224746) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 243454) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2015-07-02 |