| 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 |