| NPI | 1841565611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 23869) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A154540) |
| 208M00000X Hospitalist (Licence: IL 036138141) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2023-07-10 |