| NPI | 1467984369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 109927) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL OS15955) |
| 208D00000X General Practice (Licence: FL OS15955) | |
| 208M00000X Hospitalist (Licence: GA 109927) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2026-05-27 |