| NPI | 1316500341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D97044) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 65308) |
| 208M00000X Hospitalist (Licence: TN 65308) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: TN 65308) | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2024-02-14 |