| NPI | 1659703981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 39562) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 39562) |
| 208M00000X Hospitalist (Licence: GA 79269) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2023-03-06 |