| NPI | 1801914023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AK 6554) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME97953) |
| 208M00000X Hospitalist (Licence: HI 14254) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2022-07-21 |