| NPI | 1235650904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 20229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A165700) |
| 208M00000X Hospitalist (Licence: CA A165700) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2021-01-15 |