| NPI | 1568406411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 38122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 38122) |
| 208M00000X Hospitalist (Licence: TN 38122) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-06-13 |