| NPI | 1588847925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 31903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 46605) |
| 207R00000X Internal Medicine (Licence: FL ME100459) | |
| 208M00000X Hospitalist (Licence: FL ME100459) | |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2019-08-23 |