| NPI | 1639580475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 25MA10812100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A149390) |
| 208M00000X Hospitalist (Licence: CA A149390) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2020-06-30 |