| NPI | 1285709568 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA OP00002347)  | 
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: ME 2033)  | 
| 208M00000X Hospitalist (Licence: ME 2033)  | |
| Enumeration Date | 2006-11-21 | 
| Last Update Date | 2021-04-30 |