| NPI | 1124318639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR DO182681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 63891-021) |
| 208M00000X Hospitalist (Licence: WI 63891-021) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2024-02-22 |