| NPI | 1225599624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A179251) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA PTL1664) |
| 208M00000X Hospitalist (Licence: CA A179251) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-03-12 |