| NPI | 1811130347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D83547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 050921) |
| 207R00000X Internal Medicine (Licence: CT 50921) | |
| 208M00000X Hospitalist (Licence: CT 50921) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2020-11-02 |