| NPI | 1700318631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A172895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.150475) |
| 208M00000X Hospitalist (Licence: IL 036.150475) | |
| 208M00000X Hospitalist (Licence: CA A172895) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2021-07-21 |