| NPI | 1104347046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2022031264) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2022031264) |
| 207R00000X Internal Medicine (Licence: MO 2022031264) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2024-03-07 |