| NPI | 1538553649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A48411) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 168026171) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2022-10-14 |