| NPI | 1932172830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 042658) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 042658) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 042658) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2015-12-30 |