| NPI | 1912913302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301088605) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301088605) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-03-07 |