| NPI | 1902465461 |
|---|---|
| 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: TN 4629) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2022-05-06 |