| NPI | 1235576893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A178877) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD479011) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2023-11-14 |