| NPI | 1619550639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 5922) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 13039) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2024-11-04 |