| NPI | 1144562992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PR 19295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19295) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 19295) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2023-12-12 |