| NPI | 1275897027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME149235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-37263) |
| 208M00000X Hospitalist (Licence: TN 57325) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2023-05-24 |