| NPI | 1073923835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101274669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A147483) |
| 208M00000X Hospitalist (Licence: CA A147483) | |
| 208M00000X Hospitalist (Licence: VA 0101274669) | |
| 208M00000X Hospitalist (Licence: IN 01089212A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2023-02-06 |