| NPI | 1689012015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-13562) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID M-13562) |
| 208M00000X Hospitalist (Licence: OR MD189146) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2021-11-12 |