| NPI | 1720492713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-22076) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A143227) |
| 208M00000X Hospitalist (Licence: CA A143227) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-07-25 |