| NPI | 1659751816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01081699A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101264519) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208M00000X Hospitalist (Licence: IN 01081699A) | |
| 207R00000X Internal Medicine (Licence: VA 0101264519) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2021-06-14 |