| NPI | 1598329872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 33889) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 318351) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207P00000X Emergency Medicine (Licence: NV 27192) | |
| 208M00000X Hospitalist (Licence: NC 2024-03385) | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2025-07-01 |