| NPI | 1265817514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D86246) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD046247) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC MTL002876) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2018-11-27 |