| NPI | 1023497708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 102567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036145772) |
| 208M00000X Hospitalist (Licence: IL 036145772) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2025-11-04 |