| NPI | 1497216436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2022027095) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 97684) |
| 207R00000X Internal Medicine (Licence: SC 91227) | |
| 208M00000X Hospitalist (Licence: MO 2022027095) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2024-03-15 |