| NPI | 1144774712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 97422) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: NM MD2018-0965) | |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2026-03-17 |