| NPI | 1538593348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 277653) |
| 208M00000X Hospitalist (Licence: WI 69450) | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2023-07-05 |