| NPI | 1679646715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 39188) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 44723) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: WI 44723) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-10-08 |