| NPI | 1578580593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WY 6404A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WY 6404A) |
| 207R00000X Internal Medicine (Licence: WY 6404A) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-06-13 |