| NPI | 1407325269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 305670) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN25164) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN25164) | |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2020-09-23 |