| NPI | 1255494373 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 51341-20) | 
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 51341-20) | 
| Enumeration Date | 2006-12-19 | 
| Last Update Date | 2011-09-07 |