| NPI | 1851641229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D92400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015021638) |
| 207R00000X Internal Medicine (Licence: PA MD459265) | |
| 207R00000X Internal Medicine (Licence: MD D92400) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2021-11-16 |