| NPI | 1154564243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 261473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 261473) |
| 208M00000X Hospitalist (Licence: NY 261473) | |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2018-08-22 |