| NPI | 1578092805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 02006905A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036152411) |
| 208M00000X Hospitalist (Licence: IL 036152411) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY TP218) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-12-07 |