| NPI | 1306292958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 307071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 62406) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208M00000X Hospitalist (Licence: CT 62406) | |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2020-09-25 |