| NPI | 1972788990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.097844) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 072915) |
| 208M00000X Hospitalist (Licence: GA 72915) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2019-09-24 |