| NPI | 1609184506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 339484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 62889) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: SD 8799) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2023-11-10 |