| NPI | 1487945663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 274446) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 63092) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2023-08-31 |