| NPI | 1730884784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 1074266-RES) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 83357) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2026-03-15 |