| NPI | 1760845622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D87244) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101266246) |
| 208M00000X Hospitalist (Licence: WI 70674) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2024-02-16 |