| NPI | 1942241708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 205782) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 46329) |
| 207R00000X Internal Medicine (Licence: CO 43780) | |
| 208M00000X Hospitalist (Licence: TN 46329) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2021-06-16 |