| NPI | 1104118561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A96133) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A96133) |
| 208M00000X Hospitalist (Licence: CA A96133) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2024-04-23 |