| NPI | 1851654479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 288542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301100617) |
| 208M00000X Hospitalist (Licence: MI 4301100617) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2022-09-19 |