| NPI | 1417488826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: LA 323211) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 323211) |
| 208M00000X Hospitalist (Licence: LA 323211) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2022-04-19 |