| NPI | 1659396539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: TX N4072) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: MO 2005031081) |
| 208M00000X Hospitalist (Licence: MO 2005031081) | |
| 208M00000X Hospitalist (Licence: OK 28041) | |
| 207RI0200X Internal Medicine Infectious Disease (Licence: OK 28041) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-06 |