| NPI | 1841686664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01085863A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 19188) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: NH 19188) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2022-10-14 |