| NPI | 1508098104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD040826) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: DC MD040826) |
| 208M00000X Hospitalist (Licence: DC MD040826) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2019-07-11 |