| NPI | 1386037075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101261528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 24775) |
| 208M00000X Hospitalist (Licence: NV 24775) | |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2024-04-03 |