| NPI | 1629264320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 85037) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 106157) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 232593) | |
| 208M00000X Hospitalist (Licence: CT 051921) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 55816) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2020-09-21 |