| NPI | 1417204546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 56843) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD457850) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2022-09-02 |