| NPI | 1982099776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME176088) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 35.145389) |
| 207R00000X Internal Medicine (Licence: KY C4661) | |
| 208M00000X Hospitalist (Licence: FL 35.145389) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL 35.145389) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-11-18 |