| NPI | 1396241501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0091655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD600004679) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208M00000X Hospitalist (Licence: MD D91655) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2026-05-20 |