| NPI | 1043539919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D88893) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440869) |
| 207R00000X Internal Medicine (Licence: DC MD039045) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101250764) | |
| 208M00000X Hospitalist (Licence: PA MD440869) | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2021-08-23 |