| NPI | 1033606215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 76627) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-48199) |
| 208M00000X Hospitalist (Licence: IA MD-48199) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2022-06-28 |