| NPI | 1578751871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 066394) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 43503) |
| 207R00000X Internal Medicine (Licence: NC 2008-01629) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2013-09-08 |