| NPI | 1184263840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 90181) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 90181) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2026-03-03 |