| NPI | 1750744504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 315437) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA10605700) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2022-04-29 |