| NPI | 1801204979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 31681) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 289697) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2022-03-10 |