| NPI | 1871561894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 11885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 11885) |
| 208M00000X Hospitalist (Licence: PR 11885) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-10-06 |