| NPI | 1780951970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: TX S7999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101259668) |
| 208M00000X Hospitalist (Licence: VA 0101259668) | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2021-01-05 |