| NPI | 1417521345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 1417521345) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 304964) |
| Enumeration Date | 2021-05-15 |
| Last Update Date | 2024-03-21 |