| NPI | 1235425158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS11968) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL OS11968) |
| 208M00000X Hospitalist (Licence: FL OS11968) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2024-08-07 |