| NPI | 1871848531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME123496) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.020825) |
| 207R00000X Internal Medicine (Licence: FL ME123496) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.020825) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2017-09-22 |