| NPI | 1952370249 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA MA-220411) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 220411) | 
| Enumeration Date | 2006-03-17 | 
| Last Update Date | 2011-06-13 |