NPI | 1962422923 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 2409) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4301055144) |
207R00000X Internal Medicine (Licence: NV 18105) | |
208M00000X Hospitalist (Licence: NV 18105) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2024-04-23 |