| NPI | 1083903645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036.133842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036133842) |
| 208M00000X Hospitalist (Licence: IL 036133842) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2023-06-19 |