| NPI | 1700270261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN28116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 17992) |
| 208M00000X Hospitalist (Licence: NV 17992) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2022-10-31 |