| NPI | 1336768639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D0099586) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 328462) |
| 208M00000X Hospitalist (Licence: VA 0101281378) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2026-04-23 |