| NPI | 1033577101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MB09878100) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2018-01257) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB09878100) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2022-06-14 |