| NPI | 1881076503 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2019036769)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019036769)  | 
| 208M00000X Hospitalist (Licence: MO 2019036769)  | |
| Enumeration Date | 2015-06-19 | 
| Last Update Date | 2025-04-17 |