| NPI | 1225438849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.142693) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OK 36997) | |
| 208M00000X Hospitalist (Licence: SD 10532) | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2024-02-27 |