| NPI | 1033476189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 13824) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ND 13824) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: IN 01079621A) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2020-06-02 |