| NPI | 1891720629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME88878) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME88878) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-02-01 |