| NPI | 1225371164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 28160) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01082115A) |
| 208M00000X Hospitalist (Licence: NV 16691) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2020-09-21 |