| NPI | 1699926535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C149615) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 53852) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT192048) | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2018-03-20 |