| NPI | 1427484682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 11615A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WY 11615A) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WY 11615A) | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2022-11-03 |