| NPI | 1457738593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 315641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 315641) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: NY 315641) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2022-11-04 |