| NPI | 1730709130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WY 17332A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: UT 13344889-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2024-09-04 |