| NPI | 1427495175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0086009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 54587) |
| 208M00000X Hospitalist (Licence: TN 54587) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2021-06-29 |