| NPI | 1144740184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NE 8059) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ND PT16474) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-02-20 |