| NPI | 1275773079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 291359) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101253669) |
| 208M00000X Hospitalist (Licence: PA TMD004814) | |
| 208M00000X Hospitalist (Licence: NC 2018-00151) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2022-06-15 |