| NPI | 1245626613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A153506) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A153506) |
| 207Q00000X Family Medicine (Licence: IN 11018078A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2024-03-20 |