| NPI | 1689945792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036157658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 34890) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 34890) | |
| 208M00000X Hospitalist (Licence: MT 34890) | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2021-08-26 |