NPI | 1124523543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL OS22264) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208M00000X Hospitalist (Licence: OR DO205751) | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2025-09-11 |