| NPI | 1477015527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD210218) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG206476) |
| 207R00000X Internal Medicine (Licence: OR MD210218) | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2022-06-13 |