| NPI | 1871859975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NM MD2016-0420) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208M00000X Hospitalist (Licence: OR MD167499) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2016-07-15 |