| NPI | 1982994331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01071137A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01071137A) |
| 207R00000X Internal Medicine (Licence: NC 2012-01639) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01071137A) | |
| 208M00000X Hospitalist (Licence: FL ME 108596) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2022-07-12 |