| NPI | 1932368602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: SD 9108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD19000) |
| 208M00000X Hospitalist (Licence: ME MD19000) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2018-02-22 |