| NPI | 1740622604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD212217) |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2023-01-04 |