| NPI | 1467906958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 063321) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2024-06-13 |