| NPI | 1477976942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.146125) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.146125) | |
| 207R00000X Internal Medicine (Licence: VA 0101260276) | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2022-12-06 |