| NPI | 1083932909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA MD-41617) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-133371) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA MD-41617) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2016-05-12 |