| NPI | 1831331032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101260301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D73885) |
| 208M00000X Hospitalist (Licence: MD D73885) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2023-06-19 |