| NPI | 1902224934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A145500) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A145500) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: CA A145500) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2021-09-13 |