| NPI | 1932512845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME169088) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 36971) |
| 208M00000X Hospitalist (Licence: SC 36971) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2024-08-07 |