| NPI | 1316478266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 327204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042.0014798) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208M00000X Hospitalist (Licence: VT 042.0014798) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2021-06-14 |