| NPI | 1710133129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2011020104) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2011020104) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2025-08-07 |