| NPI | 1255871711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A164328) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.47106) |
| 208M00000X Hospitalist (Licence: DE C1-0025351) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2024-11-11 |