| NPI | 1023094190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 35134) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 35134) |
| 207R00000X Internal Medicine (Licence: IL 036118103) | |
| 208M00000X Hospitalist (Licence: IL 036118103) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2013-03-07 |