| NPI | 1730292889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G25319) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA G25319) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G25319) | |
| 208M00000X Hospitalist (Licence: CA G25319) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |