| NPI | 1952562407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P5920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 51778) |
| 208M00000X Hospitalist (Licence: LA MD.203122) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2013-06-03 |