| NPI | 1447743463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.142983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.142983) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301114563) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2021-08-13 |