| NPI | 1104111376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 65528) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301500677) |
| 208M00000X Hospitalist (Licence: WI 65528) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-09-18 |