| NPI | 1952391849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 219803) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 219803) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 219803) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2025-09-22 |