| NPI | 1609035351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2022-00593) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 250653) |
| 208M00000X Hospitalist (Licence: NY 250653) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2022-08-23 |