| NPI | 1972918001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 34476) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 34476) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2019-07-02 |