| NPI | 1194258087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP06098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 61287) |
| 208M00000X Hospitalist (Licence: AZ 61287) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2023-07-11 |