| NPI | 1073925442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 74151) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME129685) |
| 208M00000X Hospitalist (Licence: FL ME129685) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN20044) | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2024-10-10 |