| NPI | 1598392045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 34532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD209171) |
| 208M00000X Hospitalist (Licence: OR MD209171) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-07-01 |