| NPI | 1366965295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 73900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND RL14695) |
| 208M00000X Hospitalist (Licence: ND 15916) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2023-07-21 |