| NPI | 1649212861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 74490) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 36560) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 36560) | |
| 208M00000X Hospitalist (Licence: IA 36560) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-02-13 |