| NPI | 1639663784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A163952) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 0000) |
| 207R00000X Internal Medicine (Licence: CA A163952) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-09-19 |