| NPI | 1851886600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME164676) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V3295) |
| 208M00000X Hospitalist (Licence: TX V3295) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-09-12 |