| NPI | 1538666458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM MD2021-0887) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2021-0887) |
| 208M00000X Hospitalist (Licence: CA A188625) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2025-08-28 |