| NPI | 1437684123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01087885A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01087885A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: MO 2023046849) | |
| 208M00000X Hospitalist (Licence: HI MD-22216) | |
| 208M00000X Hospitalist (Licence: FL ME145774) | |
| 208M00000X Hospitalist (Licence: MO 2023046849) | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2024-01-08 |