| NPI | 1407054745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101261116) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 048960) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 48960) | |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2016-11-10 |