| NPI | 1619263134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GU M-2059) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 36659) |
| 207R00000X Internal Medicine (Licence: GU M-2059) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2017-07-31 |