| NPI | 1720423395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.35245) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 075587) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: AL MD.35245) | |
| 208M00000X Hospitalist (Licence: GA 075587) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-03-27 |