| NPI | 1619295011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD165917) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 075058) |
| 208M00000X Hospitalist (Licence: TN 49491) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: TN MD0000049491) | |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2023-11-01 |