| NPI | 1215113972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D76748) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD d0076748) |
| 207R00000X Internal Medicine (Licence: DC MD042465) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0076748) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD042465) | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2017-07-25 |