| NPI | 1619219128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 27172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01080157) |
| 208M00000X Hospitalist (Licence: LA 321682) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2024-04-11 |