| NPI | 1598055758 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01078977A) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL MD31937) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-08 | 
| Last Update Date | 2025-03-13 |