| NPI | 1710956305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 37601) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 37601) |
| 208M00000X Hospitalist (Licence: TN 37601) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2008-02-26 |