| NPI | 1952510851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A106624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57011000) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A106624) | |
| 208M00000X Hospitalist (Licence: HI MD-14844) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-03-24 |