| NPI | 1710334610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 294156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 19564) |
| 208M00000X Hospitalist (Licence: MO 2019022432) | |
| 208M00000X Hospitalist (Licence: MA 294156) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2022-09-12 |