| NPI | 1831127778 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME72129) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME72129) | 
| Enumeration Date | 2006-06-29 | 
| Last Update Date | 2013-02-11 |