| NPI | 1801158423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60655673) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 32634) |
| 208M00000X Hospitalist (Licence: NY 276904) | |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2017-02-24 |