| NPI | 1821590928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A22439) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 315887) |
| 207R00000X Internal Medicine (Licence: NJ 25MB11136500) | |
| 208M00000X Hospitalist (Licence: NY 315887) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2024-06-22 |