| NPI | 1457679037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 83624) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 272762) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: NY 2727262) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2019-12-13 |