| NPI | 1396003943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0065753) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2013-0973) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX BP10043748) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2021-08-21 |