| NPI | 1700311776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 313213) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2022-12-13 |