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 |