| NPI | 1407260144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: MA 274031) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064663) |
| 208M00000X Hospitalist (Licence: UT 10269589-1205) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 274031) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2022-07-21 |