| NPI | 1588647796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME101531) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 034732) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2018-09-27 |