| NPI | 1326369430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 069521) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 1326369430) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2013-09-18 |