| NPI | 1477679496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID M-10266) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: VA 0101028335) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-02-22 |