| NPI | 1093027245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 301461) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA 40706) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN14935) | |
| Enumeration Date | 2010-07-04 |
| Last Update Date | 2023-07-17 |