| NPI | 1649545872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101262073) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 262148) |
| 208M00000X Hospitalist (Licence: VA 0101262073) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2021-07-31 |