| NPI | 1841301884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C163303) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 045706) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 045706) | |
| 208M00000X Hospitalist (Licence: VA 0101242047) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-04-28 |