| NPI | 1083977664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME124049) |
| 207R00000X Internal Medicine (Licence: MD P27685) | |
| 208M00000X Hospitalist (Licence: VA 0101260692) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-08-21 |