| NPI | 1578854824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A153357) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD456150) |
| 207R00000X Internal Medicine (Licence: CA A153357) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2022-02-11 |