| NPI | 1295914687 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 200301333)  | 
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 246535-1)  | 
| 208000000X Pediatrics (Licence: NY 246535-1)  | |
| Enumeration Date | 2007-11-01 | 
| Last Update Date | 2017-03-29 |