| NPI | 1316303332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.148495) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 55752) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2023-12-11 |