| NPI | 1629366471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E-13145) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2018043298) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57-019002) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2020-08-12 |