| NPI | 1124330733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PR 20571) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 20571) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 20571) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2016-07-01 |