| NPI | 1053816751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A173554) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A173554) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2026-01-23 |