| 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 | 2020-11-23 |