| NPI | 1376064212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 1.065351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 1.065351) |
| 208M00000X Hospitalist (Licence: CT 1.065351) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2025-06-28 |