| NPI | 1679955066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D090405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2018-02331) |
| 208M00000X Hospitalist (Licence: SC 87858) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208M00000X Hospitalist (Licence: NC 2018-02331) | |
| 208M00000X Hospitalist (Licence: MD D090405) | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2024-01-08 |