| NPI | 1417452426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2021-02583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2021-02583) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 238408) | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2022-03-07 |