| NPI | 1689163511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 311767) |
| 208M00000X Hospitalist (Licence: NY 311767) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2025-07-20 |