| NPI | 1962930354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61521251) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 0062195) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2024-06-13 |