| NPI | 1942730742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME163173) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.070711) |
| 207R00000X Internal Medicine (Licence: IL 036.152073) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME163173) | |
| 208M00000X Hospitalist (Licence: IL 036.152073) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2025-02-05 |