| NPI | 1386906477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 288837) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A141242) |
| 208M00000X Hospitalist (Licence: NE 28767) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2021-07-21 |