| NPI | 1184901001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 18257) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 03776) |
| 208M00000X Hospitalist (Licence: CA 18257) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-11-06 |
| Last Update Date | 2024-03-14 |