| NPI | 1437539012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 61984) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 296070) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2019-06-04 |