| NPI | 1700522778 |
|---|---|
| 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: SC 1700522778) |
| 207R00000X Internal Medicine (Licence: SC 1700522778) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2025-02-03 |