| NPI | 1457849333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 87671) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 1912-320) |
| 208M00000X Hospitalist (Licence: TN 66318) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2023-11-16 |