| NPI | 1619182714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.205756) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 13726) |
| 208M00000X Hospitalist (Licence: NH 13726) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2013-02-21 |