| NPI | 1871229328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101285310) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2025-05-30 |