| NPI | 1548410590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101277821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME107402) |
| 207R00000X Internal Medicine (Licence: VA 0101277821) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 11608) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2024-03-26 |