| NPI | 1487939369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 32500) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME145570) |
| 208M00000X Hospitalist (Licence: CT 53144) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2023-11-02 |