| NPI | 1952628562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 15315) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NV 15315) |
| 208M00000X Hospitalist (Licence: NV 15315) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2021-03-10 |