| NPI | 1609022664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 71490) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 003831) |
| 207R00000X Internal Medicine (Licence: NY 268775) | |
| 208M00000X Hospitalist (Licence: NY 003831) | |
| 208M00000X Hospitalist (Licence: NY 268775) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2019-11-05 |