| NPI | 1235651332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 272004) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: RI MD16963) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2020-05-29 |