| NPI | 1578974556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 25MA12228800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.130070) |
| 208M00000X Hospitalist (Licence: OH 35.130070) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2024-06-16 |