| NPI | 1902199797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2018-0067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-9166) |
| 207R00000X Internal Medicine (Licence: AZ 49803) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2018-0067) | |
| 208M00000X Hospitalist (Licence: AZ 49803) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2018-07-03 |