| NPI | 1578517967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO MDR9003) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO R9003) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2015-04-17 |