| NPI | 1780147629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AL 41949) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL 41949) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-07-14 |