| NPI | 1902997539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME125584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 12017) |
| 208M00000X Hospitalist (Licence: NV 12017) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-08-31 |