| NPI | 1730635020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 070168) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 37780) |
| 208M00000X Hospitalist (Licence: OK 37780) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT212093) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2024-09-17 |