| NPI | 1891841417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD206532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60284559) |
| 208M00000X Hospitalist (Licence: WA MD60284559) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-1276) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2021-12-02 |