| NPI | 1609397272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY TP116) |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2020-06-12 |