| NPI | 1558509034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD202897) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND PT11935) |
| 208M00000X Hospitalist (Licence: MN 59258) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2023-05-24 |