| NPI | 1851928048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL25-0903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD215296) |
| 208M00000X Hospitalist (Licence: OR MD215296) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-08-29 |