| NPI | 1396238002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-05724) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019990A) |
| 208M00000X Hospitalist (Licence: IA DO-05724) | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2022-07-22 |