| NPI | 1003187048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME121075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T2369) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 114063) | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2024-12-19 |