| NPI | 1164622080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2011-00018) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2011-00018) |
| 208M00000X Hospitalist (Licence: NC 2011-00018) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2021-04-30 |