| NPI | 1568807923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2021-00607) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: DC MD044093) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2021-08-17 |