| NPI | 1588160733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME159993) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 89349) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 239286) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-10-04 |