| NPI | 1548655954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 294091-1) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 294091) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2021-09-15 |