| NPI | 1144459611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 071761) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: GA 071761) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: KS 94-07071) | |
| 207RI0200X Internal Medicine Infectious Disease (Licence: NC 2010-02077) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2019-10-04 |