| NPI | 1205321171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2019034661) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036156519) |
| 207R00000X Internal Medicine (Licence: MO 2019034661) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036156519) | |
| 208M00000X Hospitalist (Licence: IL 036156519) | |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2023-09-06 |