| NPI | 1770569246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 206854) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 206854) |
| 207R00000X Internal Medicine (Licence: MA 206854) | |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2010-11-30 |