| NPI | 1811974843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A66151) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A66151) |
| 208M00000X Hospitalist (Licence: CA A66151) | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2008-04-14 |