| NPI | 1801248455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 63575) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2023-12-04 |