| NPI | 1194757427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 010925) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 5100) |
| 207R00000X Internal Medicine (Licence: IL 036091388) | |
| 207R00000X Internal Medicine (Licence: TN 5100) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 5100) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036091388) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-10-08 |