| NPI | 1902260045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 89096) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 25395) |
| 208M00000X Hospitalist (Licence: MS 25395) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2021-06-15 |