| NPI | 1063619195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 062772) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 062772) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 062772) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2019-01-30 |