| NPI | 1316442148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 55499) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2021-06-28 |