| NPI | 1851364699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 4425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2005-00533) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX N5578) | |
| 208M00000X Hospitalist (Licence: ND 2005-00533) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2024-10-04 |