| NPI | 1992799829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 044671) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 044671) |
| 207P00000X Emergency Medicine (Licence: LA MD203948) | |
| 207R00000X Internal Medicine (Licence: CT 044671) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2021-09-22 |