| NPI | 1629465448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NH 35310) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 305194) |
| 208M00000X Hospitalist (Licence: NY 305194) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2025-07-15 |