| NPI | 1659520229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 62522-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD125989) |
| 207R00000X Internal Medicine (Licence: PA MD439020) | |
| 207R00000X Internal Medicine (Licence: KY 43387) | |
| 207R00000X Internal Medicine (Licence: WA MD60156861) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 62522-20) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2023-11-03 |