| NPI | 1588234926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 1015978) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 288935) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-07-24 |