| NPI | 1306232715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-01406) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 210163) |
| 208M00000X Hospitalist (Licence: NC 2018-01406) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2021-03-26 |